Evidence map›Paper›PMID 30941176›Full record

ArticleJournal of oncology2019

Colorectal Cancer Characteristics and Outcomes after Solid Organ Transplantation.

Amit Merchea, Faisal Shahjehan, Kristopher P Croome, Jordan J Cochuyt, Zhuo Li, Dorin T Colibaseanu, Pashtoon Murtaza Kasi

Open access · hybridAbstract read
In one paragraph

Article in Journal of oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Incidence, screening, and management ofWorld journal of transplantation · 2025
    Review
  6. Surgical outcomes of colorectal cancer surgery in transplant recipients: A matched case-control study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  7. Previous Solid Organ Transplantation Influences Both Cancer Treatment and Survival Among Colorectal Cancer Patients.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients.The International journal of angiology : official publication of the International College of Angiology, Inc · 2021
    Article
  13. Observational
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Amit MercheaDivision of Colon & Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0001-7880-7080
Faisal ShahjehanDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0001-7384-2960
Kristopher P CroomeDivision of Colon & Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA.
Jordan J CochuytDivision of Biomedical Statistics & Informatics, Mayo Clinic, Jacksonville, FL, USA.
Zhuo LiDivision of Biomedical Statistics & Informatics, Mayo Clinic, Jacksonville, FL, USA.
Dorin T ColibaseanuDivision of Colon & Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA.
Pashtoon Murtaza KasiDivision of Hematology and Oncology, University of Iowa, Iowa City, IA, USA.ORCID 0000-0002-5169-7085
Mayo Clinic in Florida · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals after solid organ transplant may develop secondary malignancies. In our clinical practice, we noted an increasing number of individuals who developed colorectal cancers after solid organ transplantation. The primary aim of this study was to describe the characteristics and outcomes of the patients who developed colorectal cancer after solid organ transplant. MATERIALS AND

methodsData was gathered and merged from several registries at Mayo Clinic to identify all patients who received a diagnosis of colon or rectal cancer and solid organ transplant. Continuous variables were summarized as mean (standard deviation) and median (range), while categorical variables were reported as frequency (percentage). Time to colorectal cancer after transplant and overall survival after cancer diagnosis were estimated using Kaplan-Meier method.

resultsInitially, 115 colorectal cancer patients who also had a transplant were identified. The diagnosis of colorectal cancer was noted after solid organ transplant in 63 patients. The mean age at transplant was 57 years. Majority had received a kidney transplant (44.4%) followed by liver (36.5%). The median time to develop colorectal cancer was 59.3 months (range: 4.4-251.4 months). 15 (24.6%) were stage 4 at diagnosis and 13 (21.3%) had stage 3 colorectal cancer. Median overall survival was 30.8 months; 5-, 10- and 15-year survival were noted to be 42.5%, 17.9%, and 7.5%, respectively. None of the stage 4 patients were alive at 5 years; 5-year survival rate for stage 1, 2, and 3 patients was 77%, 50%, and 42%, respectively.

conclusionsOur study reports on one of the largest cohorts of patients of colorectal cancer that developed the cancer after solid organ transplant. Survival is extremely poor for advanced cases. However, long-term survivors are noted who developed the cancer at a relatively early stage. Colorectal screening recommendations may need to be revised for patients after solid organ transplant.

Identifiers

PMID30941176
PMCPMC6421000
OpenAlexW2918727270

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.